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Your Prescription Benefits

Standard Formulary


Use the link under Check Drug Cost on this page to get medication prices. To help you prepare for Annual Enrollment the drugs costs displayed have been updated to reflect the cost as of June 1, 2014. If you are currently enrolled and wish to check drug costs under your current plan, please visit caremark.com.

The Standard Formulary covers a broader range of generic, preferred and non-preferred brand drugs, but encourages the use of generics whenever possible to get the best value.

For more information about your medical and prescription benefits, please refer to myBenefits Spotlight: From myHR, select the link to myBenefits Spotlight.


CVS/pharmacy or Longs Drugs for immediate medications
(Up to a 30 day supply)
  • $7.50 copayment for generic medication
  • 20% coinsurance for a preferred brand-name medication
  • 35% coinsurance for a non-preferred brands
  • $75.00 for a 30 day supply of a Specialty medication
  • CVS/pharmacy or CVS Caremark Mail Service Pharmacy for long-term* medications
    (31-90 day supply)
  • $9.99 copayment for generic medications
  • $41.50 copayment for a preferred brand-name medication
  • $91.00 copayment for a non-preferred brands
  • $75.00 for a 30 day supply of a Speciality medication
  • Customer Care#
  • 1-866-284-9226
  • Quantity Limit and Prior Authorization
  • Some medications have quantity limits or prior authorization requirements. When you use "Check Drug Cost" on this page, you will not see a price for medications that require prior authorization or have quantity limits. Please call Customer Care at 1-866-284-9226 to receive a cost estimate.
  • * A long-term medication is taken regularly for chronic conditions or long-term therapy. A few examples include medications for managing high blood pressure, asthma, diabetes, or high cholesterol.

    ** When a generic is available, but the pharmacy dispenses the brand-name medication for any reason, you will pay the difference between the brand-name medication and the generic plus the brand copayment.




     
    Check Drug Cost

    Helpful Documents:

    Download a copy of your Primary Preferred Drug List

    Download a copy of your CVS Caremark Maintenance Drug List

    Download a copy of your CVS Caremark Specialty Drug List

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